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About Libman Education

Libman Education Inc. is a leading provider of training for the health care workforce offering self-paced and instructor-led online courses designed and developed by leading industry experts in Health Information Management (HIM) and Medical Record Coding. Our courses are specifically designed to improve individual skills and increase the efficiencies and competencies of health care providers and institutions. At Libman Education, we understand the needs and challenges of a well-trained workforce and offer the right-mix of online education to ensure that the health care professionals are prepared to meet the challenges of the changing workplace.
26 09, 2022

My Personal Journey: How I Discovered My Love of Medical Record Coding

By |2022-09-26T21:29:56-04:00September 26th, 2022|Coders' Corner|0 Comments

by Cheryl A. Cyrus, BGS, AS, RHIT, CPMA, CDEO, CRC Life is always moving forward and changes are always happening. Many things you learn may not seem like education at the time but they make you who you are and prepare you for your next challenge. I started working during the summer between my junior and senior year of high school, as an EKG Technician at a local hospital that provided on-the-job training. I was hoping it would help me decide what I wanted to do in college or as a career. I had a great time learning all

22 09, 2022

When to Review the Rules You Need to Know in Payer Publications

By |2022-09-22T20:40:08-04:00September 22nd, 2022|Coders' Corner|0 Comments

Payer Intelligence, Part 5 When to Review the Rules You Need to Know in Payer Publications By Rayellen Kishbach, Director of Business Development for Policy Reporter In Parts 1-4 of the Payer Intelligence series, we looked at a broad range of publications that Medicare and commercial payers publish to communicate coverage or non-coverage of a procedure, product, service or test. This final article maps where in the revenue cycle it is important to review specific types of payer rules. Generally speaking, most coding and billing professionals don’t have time to do a full payer review for every claim. With

22 09, 2022

In CPT Coding of Anesthesia Services, Specificity Matters

By |2022-09-22T20:04:26-04:00September 22nd, 2022|Coders' Corner|2 Comments

Reprinted with Permission, Medi-Corp, Inc. By Marcy Garuccio, ACS-AN, CANPC, CPMA, CPC Specificity matters when coding anesthesia services.  A surgeon, facility or physician requesting anesthesia services is not enough to guarantee that these anesthesia services will be deemed medically necessary and reimbursed by insurance carriers. Many carrier guidelines require medical justification for surgical services and, in conjunction, the anesthesia service will follow suit. Often, surgeons and facilities do not include anesthesia services in the precertification and authorization process and sometimes it is not needed, but often times it helps. This process lets the payers know in advance that surgical

21 09, 2022

Rayellen Kishbach

By |2022-10-05T23:20:18-04:00September 21st, 2022|All|0 Comments

Rayellen Kishbach Rayellen Kishbach is a Director of Business Development for Policy Reporter, a TrialCard Company with over two decades of experience building and selling healthcare knowledge products. Policy Reporter provides an innovative healthcare software solution that tracks payer policies in real time wth customized alerts to subscribers. The company’s patented software-driven solutions include a suite of billing and reimbursement tools for providers and laboratories, market intelligence tools for payers, and a suite of patient access solutions for life science companies. "I love to help simplify complexity - and the U.S. healthcare system is certainly complex! I play a

29 08, 2022

Course Updates for 2023

By |2022-08-31T16:52:57-04:00August 29th, 2022|Coders' Corner|Comments Off on Course Updates for 2023

It’s that time of year again! Libman Education is committed to ensuring you and your team are fully prepared for the 2023 changes to the coding systems. We will transition from the 2022 ICD-10-CM and ICD-10-PCS courses to the 2023 versions on Sunday, September 25th. As an eLearning Library subscriber, this is what you need to know: The new 2023 versions of ICD-10-CM and ICD-10-PCS will appear in your learning paths on September 25. The 2022 versions of the ICD-10-CM and ICD-10-PCS courses will be removed from your learning paths on September 25. If you log into Litmos after

24 08, 2022

Understanding Payer Thinking: Beyond Medical Policy

By |2022-08-24T14:06:58-04:00August 24th, 2022|Coders' Corner|Comments Off on Understanding Payer Thinking: Beyond Medical Policy

Payer Intelligence, Part 4: Understanding Payer Thinking: Beyond Medical Policy By Rayellen Kishbach, Director of Business Development for Policy Reporter In Parts 1, 2 & 3 of the Payer Intelligence series, we looked at how Medicare and Commercial payers publish medical policy to communicate coverage or non-coverage of a procedure, product, service or test. In this article, we explore a number of other documents that payers may publish that can support a thorough understanding of payer thinking. Administrative Documents So, what if you’ve reviewed the payer medical policies and can’t find guidance? This may be especially common for new

5 08, 2022

Understanding Commercial Medical Policy

By |2022-08-05T16:28:32-04:00August 5th, 2022|Coders' Corner|2 Comments

Payer Intelligence, Part 3: Understanding Commercial Medical Policy By Rayellen Kishbach, Director of Business Development for Policy Reporter In Parts 1 & 2 of the Payer Intelligence series, we looked at Medicare National guidance by the Center for Medicare & Medicaid Services (CMS) and State-specific Medicare Local Coverage Determinations & Coding Articles published by the Medicare Administrative Contractors (MACs). This article shifts attention to commercial payers and the medical policy and related documents they publish. While over 64 million people are Medicare beneficiaries, a much larger number of people in the US have commercial medical insurance, served by hundreds

5 08, 2022

Training Providers by Listening First

By |2022-08-11T00:04:03-04:00August 5th, 2022|Coders' Corner|1 Comment

By Victoria Jennings, RHIA, CCS, CPC-A As a coding educator for my organization, I once traveled a few hours’ drive across the state to work with a new provider whose practice we had just acquired. This provider was a single doctor’s office and they were coming from a paper environment to an electronic health record (EHR). This happens often and I can only say it is a great moment for sympathy. Electronic Health Records (EHR). I remember what it was like when the organization I worked for chose to make the move to its first EHR. The anticipation was

22 07, 2022

It is all About the Data: What HIM Professionals Need to Know about Machine Learning

By |2022-07-22T19:59:12-04:00July 22nd, 2022|Coders' Corner|Comments Off on It is all About the Data: What HIM Professionals Need to Know about Machine Learning

By Susan H. Fenton, PhD, RHIA, FAHIMA; The University of Texas Health Science Center at Houston, School of Biomedical Informatics One of the hottest topics in health care right now is the adoption of machine learning (ML) and artificial intelligence (AI). This article will provide some basic definitions, as well as some tips for dealing with ML and AI in practice. Let’s start with definitions. Machine Learning: According to IBM, “Machine learning is a branch of artificial intelligence (AI) and computer science which focuses on the use of data and algorithms to imitate the way that humans learn, gradually improving

22 07, 2022

Understanding Extrapolation – HIM’s Role

By |2022-07-22T12:28:28-04:00July 22nd, 2022|Coders' Corner|1 Comment

By Joseph Rivet, Esq., Founder, Rivet Health Law, PLC Your organization receives an overpayment letter; in bold letters, you see a huge number and likely a brief mention of extrapolation. Stop! It is critical to fully understand the overpayment or demand letter and all authorities the payer relied on to determine the alleged errors and application of extrapolation. What is extrapolation? Extrapolation is a statistical sampling methodology used by the Centers for Medicare and Medicaid Services (“CMS”), the Department of Justice, and government contractors. The extrapolation method takes a sample of claims to estimate an overpayment across a large universe

18 07, 2022

NCD vs. LCD, Understanding Local Policy for Medicare Beneficiaries

By |2022-07-18T06:56:32-04:00July 18th, 2022|Coders' Corner|1 Comment

Payer Intelligence, Part 2: NCD vs. LCD, Understanding Local Policy for Medicare Beneficiaries By Rayellen Kishbach, Director of Business Development for Policy Reporter In Part 1 of the Payer Intelligence series, we learned that the Center for Medicare & Medicaid Services (CMS) publishes National Coverage Determinations (NCDs) to establish medical policy at the national level. This article provides an overview of medical policy published by the Medicare Administrative Contractors (MACs) who manage the Medicare programs at the state level. Local Medicare Policy is published as Local Coverage Determinations and Articles CMS coverage policy is communicated in “National Coverage Determinations” (NCDs) that

15 07, 2022

Coding Around the Clock and Around the World

By |2022-07-15T21:05:23-04:00July 15th, 2022|Coders' Corner|Comments Off on Coding Around the Clock and Around the World

  By Melanie Kiss-Endicott, MBA/HCM, RHIA, CDIP, CHDA, CPHI, CCS, CCS-P, FAHIMA The demand for experienced, certified medical coders is a constant challenge for healthcare organizations. One solution for this demand is outsourcing medical coding to companies with offshore coders to supplement your current team. There are several benefits to offshoring, including cost savings, a highly qualified labor pool, and turnaround time. Let’s answer some of the commonly asked questions about offshore coding. How does the time difference of offshore coders affect business? It enhances business! When the U.S. coding workforce is finished with their day and relaxing at home

13 07, 2022

FY 2023 ICD-10-CM and ICD-10-PCS Code Updates

By |2022-07-17T12:01:30-04:00July 13th, 2022|Press Releases|Comments Off on FY 2023 ICD-10-CM and ICD-10-PCS Code Updates

  Online, On-demand Training Available Now Changes Effective October 1; ‘Early Bird’ Pricing Available through July 31 BEDFORD, MASSACHUSETTS – July 7, 2022, UPDATED – July 13, 2022 – Important changes to the ICD-10-CM and ICD-10-PCS codes and guidelines for FY 2023 become effective October 1, 2022. Libman Education’s code update training is available now – well ahead of the effective date – for teams and individuals to proactively prepare for the changes. “It is essential that we give our coders enough time to really master the updates: what changed, what it means, and how to apply it. Even the smallest

30 06, 2022

Shearwater Health Selects Libman Education for Coder Training

By |2022-06-30T00:00:11-04:00June 30th, 2022|Press Releases|Comments Off on Shearwater Health Selects Libman Education for Coder Training

“Libman Education helps us to ensure our staff are able to perform to the exacting standards our customers’ demand” BEDFORD, MASSACHUSETTS – June 30, 2022 – Shearwater Health, Inc., a leading healthcare revenue cycle solutions firm, selected Libman Education to provide online coder training for their extensive global team of medical record coders. Libman Education was chosen for both the completeness and quality of the ICD-10-CM, ICD-10-PCS, and CPT training being provided. With economic and talent challenges now roiling the revenue cycle for many healthcare organizations, remote coders have become an essential part of the solution necessary to achieve essential

29 06, 2022

Anesthesiology Coding and Billing: Central Venous Insertion

By |2022-06-29T15:50:14-04:00June 29th, 2022|Coders' Corner|Comments Off on Anesthesiology Coding and Billing: Central Venous Insertion

By Marcy Garuccio, ACS-AN, CANPC, CPMA, CPC Reprinted with Permission, Medi-Corp, Inc. Reviewing documentation of central venous catheters placement can be a challenge for coders and auditors. Coders often see the indication noted on the paper anesthesia record, “insertion of CVP,” and they are instructed to code the appropriate code. While the documentation requirements listed by the AMA CPT guidelines are clear, many practitioners might not realize that their documentation is insufficient to support the coding and billing of the service. Unfortunately post audit findings are often how they learn their documentation is missing key necessary elements that would support

29 06, 2022

When Coders are Critical to Your Organization

By |2022-07-13T15:11:46-04:00June 29th, 2022|Coders' Corner|4 Comments

By Tunde A. Oyefeso, MBA, RHIA, CCS, CCS-P Corporate Leader Revenue Integrity, Kaiser Permanente I love working at Kaiser Permanente. I have been at KP for over 14 years now. The changes in the last few years, some driven by COVID and some driven by industry and corporate initiatives, have been somewhat challenging but more than anything, a little exciting. At the moment, we are looking to hire hospital and professional coders in most of our regions/markets, and at all coding classifications in our organization. We realize that we may not be unique in this, because other organizations are also

28 06, 2022

Where to Find the Rules You Need to Know in Payer Publications

By |2022-06-28T14:12:30-04:00June 28th, 2022|Coders' Corner|1 Comment

Payer Intelligence, Part 1:  Where to Find the Rules You Need to Know in Payer Publications (5-part series) By Rayellen Kishbach, Director of Business Development for Policy Reporter Medicare Coverage, Benefit and Claims Processing Rules Every coder, to be successful, requires a deep understanding of coding, human anatomy, and electronic health record systems. These are foundational to the work a coder does. Equally important is an understanding of how the U.S. commercial and government payers communicate medical necessity, coverage, exclusions, and billing rules. This understanding will lead to efficient revenue cycle operations and will help ensure patients can access the

20 06, 2022

Libman Education Releases Results of 4th Annual HIM Professional Census

By |2022-06-20T22:14:20-04:00June 20th, 2022|Press Releases|Comments Off on Libman Education Releases Results of 4th Annual HIM Professional Census

Findings summarize the insights of over 1200 HIM professionals BEDFORD, MASSACHUSETTS – June 21, 2022 –The results of Libman Education’s 4th annual HIM Professional Census are now available. Over 1200 Health Information Management (HIM) professionals shared their thoughts, concerns, and unique perspective in answering a focused survey of 45 questions. Health Information Management emerges from the past two years of the COVID-19 pandemic with a new focus on effective management of the HIM function to better support the mission of the organization. Flexible staffing has emerged as a key strategy: organizations deploy a mixture of in-house employees, often cross-trained to

9 06, 2022

Announcing New Course: CPT®: Essentials of Anesthesiology Coding and Billing

By |2022-06-09T00:00:20-04:00June 9th, 2022|Press Releases|Comments Off on Announcing New Course: CPT®: Essentials of Anesthesiology Coding and Billing

“Coders with detailed knowledge of coding and billing of anesthesia services are valued team members.” BEDFORD, MASSACHUSETTS – June 9, 2022 – Libman Education has released a new online course that teaches medical coders proper anesthesia coding: CPT®: Essentials of Anesthesiology Coding and Billing, by Marcy Garuccio, ACS-AN, CANPC, CPMA, CPC, SME, AAPC Fellow, a nationally recognized authority on coding of anesthesia services. Marcy’s long career combines a strong foundation in anesthesiology practice management with medical coding and billing expertise. “Anesthesia is such a unique coding and billing field. It utilizes time and multiple components to format a charge for

8 06, 2022

AHA takes on MA Plans: What Coders and CDI Specialists Need to Know

By |2022-06-08T22:41:52-04:00June 8th, 2022|Coders' Corner|Comments Off on AHA takes on MA Plans: What Coders and CDI Specialists Need to Know

By Brian Murphy The struggle is real … in the battle of the American Hospital Association (AHA) vs. Medicare Advantage (MA) plans. The AHA recently issued a lengthy letter to CMS demanding increased oversight of MA plans, which they claim are denying medically necessary care. The AHA cited a recent OIG report which found that an estimated 13% of prior authorization denials and 18% of payment denials should have been granted. It also urged the Department of Justice to establish a task force to conduct False Claims Act investigations into commercial health insurance companies that demonstrate patterns of payment denial. Interesting stuff.

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